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Article
January 1945

SLIPPING OF THE UPPER FEMORAL EPIPHYSISDIAGNOSTIC AND THERAPEUTIC CONSIDERATIONS

Author Affiliations

BOSTON
From the Department of Orthopedic Surgery, the Children's Hospital and the Harvard Medical School.

Arch Surg. 1945;50(1):19-33. doi:10.1001/archsurg.1945.01230030022004
Abstract

If slipping of the upper femoral epiphysis or epiphysiolysis is recognized at an early stage and proper treatment is instituted, the prognosis should be excellent. If it is not recognized until considerable displacement has occurred, it may produce severe crippling, whatever treatment is followed. It is the purpose of this paper to stimulate early recognition of the condition and to report experiences with various methods of treatment.

This report includes 26 patients with slipping of the upper femoral epiphysis in 36 hips.1 They represent the total number of patients admitted to the Children's Hospital, Boston, in the last thirteen years with certain additions.1a

The result in 28 of the 36 hips has been evaluated after an average interval of six and three-tenths years. Of the remainder, 6 have been treated too recently for evaluation and 2 were not treated. All but 5 were examined in 1944, and the

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